Johnson, Carole Lea
Johnson, Carole Lea is an sole proprietor health care provider with primary practice located at 1733 W Main St Ste 200 , Dothan AL 36301-1345. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Johnson, Carole Lea can be contacted via phone (334) 677-1690.Contact Information
Primary practice address
1733 W Main St Ste 200
Dothan AL 36301-1345
Phone: (334) 677-1690
Fax: (334) 699-1465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 18456 | Alabama |
Profile Details
| NPI number | 1386624419 |
|---|---|
| LBN Legal business name | Johnson, Carole Lea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Nov 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386624419 | NPPES |
| Alabama | Other | 512-42252 | BCBS |
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